Organization Active NPI

Southernmost Foot and Ankle Specialists

  • Primary Podiatric Medicine Podiatrist
  • Coral Gables, FL
National Provider Identifier
1104014513
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
Legal business name
SOUTHERNMOST FOOT AND ANKLE SPECIALISTS
Practice address
2441 Coral Way
Coral Gables, FL 33145-3409
Phone
(305) 856-6441
Fax
(305) 854-3880
NPI assigned
Oct 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Liana Korytowski Seldin, DPM,AAFAS
Title
Physician
Phone
(305) 246-4774

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213EP1101X Primary

Addresses

Primary practice location

2441 Coral Way
Coral Gables, FL 33145-3409

Mailing address

975 Baptist Way
#101
Homestead, FL 33033-7600
Phone (305) 246-4774

Other identifiers 1

IdentifierTypeStateIssuer
390458000MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Southernmost Foot and Ankle Specialists PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1104014513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 BAPTIST WAY",
            "address_2": "#101",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337600",
            "telephone_number": "305-246-4774",
            "fax_number": "305-248-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 CORAL WAY",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331453409",
            "telephone_number": "305-856-6441",
            "fax_number": "305-854-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERNMOST FOOT AND ANKLE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "SELDIN",
        "authorized_official_first_name": "LIANA",
        "authorized_official_middle_name": "KORYTOWSKI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-246-4774",
        "authorized_official_credential": "DPM,AAFAS"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390458000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.